提高质量,消除对需要口译员的患者发育查方面的差异
Courtney M Brown1,2, Beth Dillon1, Christina Toth3
1From the Division of Primary Care Pediatrics, Nationwide Children's Hospital, Columbus, Ohio.
Pediatric quality & safety
|August 8, 2023
概括
在初级保健儿科中实施标准化过程显著改善了需要口译员的儿童的发育查率,有效地缩小了护理的差距. 这样可以确保更公平地早期识别发育迟缓.
科学领域:
- 儿科初级护理专业的儿童初级护理
- 卫生公平性健康公平性
- 改善医疗保健的质量.
背景情况:
- 偏爱英语以外的其他语言的儿童在及时识别和治疗发育迟缓方面面临差异.
- 初级保健儿科在建立公平的查和转诊系统方面发挥着至关重要的作用.
- 在需要和不需要口译员的家庭之间,在发育查率上存在系统的差异.
研究的目的:
- 消除需要口译员的家庭与不需要口译员的家庭之间发展查率的差异.
- 在适合年龄的健康儿童访问期间,将需要口译员的患者的发育查完成率从86%提高到92%.
主要方法:
- 利用电子健康记录 (EHR) 追踪 31,461 名患者在健康儿童诊所的发育查完成率.
- 在12个儿科初级保健中心实施了基于卫生保健改善研究所改善模式的质量改进计划.
- 使用统计过程控制来评估查率的变化.
主要成果:
- 在程序标准化后,所有诊所中,需要翻译的患者的发育查完成率从86%增加到93%.
- 对于不需要翻译的患者,查完成率保持在92%的稳定水平.
- 标准化过程成功地消除了查率的差异.
结论:
- 一个标准化,EHR支持的过程有效地改善了需要口译员的患者的发育查.
- 这个倡议成功地消除了发展查方面的差异,促进了健康公平.
- 这些发现强调了初级保健系统过程变化的影响,以解决儿童发展服务中的不平等问题.
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